Monster
 
 
 
 

Job Summary

Location
Wexford, PA
Industries
Healthcare Services
Career Level
Experienced (Non-Manager)
Job Reference Code
4497

Clinical Review Nurse

About the Job


For quick consideration apply here

INSIGHT IMAGING is a leading provider of radiology services, with more than 150 fixed imaging facilities and mobile units located in over 30 states. We offer a full continuum of diagnostic imaging services that complement existing community healthcare resources and focus on the specific needs of each distinct medical community. The culture is informal, has a strong field presence and encourages a balance of teamwork, individuality and a strong focus on patient care. The pay is competitive, the benefits excellent and the work meaningful and rewarding.

We are seeking a Clinical Review Nurse. Under close supervision, perform a variety of nursing/clinical and customer service support tasks such as answering telephone calls, screening & assessing patients for PET scans, scheduling patients, and collect / coordinate medical necessary documents. Monitor and maintain Schedule Records and perform other related duties as required.

Examples of Essential Functions:
  • Handle telephone calls in a concise manner, utilizing clear verbal communication skills with physicians’ and other parties calling the scheduling center.
  • Greet patients in a professional and friendly manner, and assist patients with registration materials as required.
  • Screen and assess patients prior to procedure for any precautions or contra-indications
  • Prioritize the dissemination of scheduling information according to physician order, hospital site, and timeliness
  • Review Scheduling Records and interpret information critical for PET scanning and physician diagnosis.
  • Appropriately contacts patient to review a baseline assessment, explain PET procedures, provide patient education, and functions as a patient liaison.
  • Follow company collection policy by informing patients of their financial obligations and collecting payment at time of service.
  • Monitor and maintain schedule records accurately. Forward all necessary documents in an accurate and timely manner.
  • Obtain all necessary patient information and demographics that pertain to the current exam including previous x-rays, charts and medical records.
  • Assist in cross-training scheduling personnel to become proficient in ancillary areas as requested by supervisor.
  • Verify insurance eligibility and obtain prior authorization (if required) by contractual or non-contractual agencies or insurance carriers.
  • Compose and type correspondence, memorandums, reports and tables using word processing and spreadsheet applications (where applicable).
  • Perform preventive maintenance on all front office and secretarial related equipment and report all problems or breakdowns immediately to the supervisor.
  • Comply with all applicable laws, rules and regulations, the company’s policies and procedures, and The InSight Integrity Program.
  • Perform other projects/tasks, as requested by the Company.

    The ideal candidate has:
  • High school graduate or equivalent.
  • LPN / RN License

    Desirable:
  • Working knowledge of clinical indications / insurance criteria for PET scans.
  • Working knowledge of Diabetic Management.
  • CPR Certification.

    Knowledge:
  • Working knowledge of cancer diagnoses & treatments.
  • Medical terminology.
  • Knowledge of Multi-line phone system
  • Basic typing and computer knowledge.
  • Customer service principles and techniques.
  • Office filing and record keeping techniques.
  • Read and interpret printed insurance plan coverage.

    Skills & Abilties:
  • PC skills, software such as: Office Word, Excel, Outlook.
  • Handle telephone calls using proper telephone etiquette.
  • Operate standard office equipment such as PC base software, copiers and facsimile equipment.
  • Schedule, organize and complete work in accordance with deadlines and time constraints.
  • Verify, copy, fax and distribute documents and messages.
  • Communicate effectively with staff, management, clients, healthcare representatives, and all external customers.
  • Maintain confidentiality of patient records.

    Special Requirements/Certification:
  • Current LPN / RN License
  • OSHA Class II risk of exposure to Bloodborne Pathogens.

    To ensure that we continue to hire competent, ethical and trustworthy individuals, all candidates must successfully complete a thorough background investigation prior to beginning employment with INSIGHT IMAGING.


    For quick consideration apply here
    •  

      Search for more jobs